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PATHOPHYSIOLOGY

Modifiable factors:

High LDL
levels
HPN

Non-modifiable factors:
cholesterol

Age
Family history of HPN
Previous episode of stroke

Thrombus formation in blood


vessel or right pontine artery

Emboli in blood vessel or right


pontine artery

Right pontine artery narrows

Emboli blocks blood flow to the right


pontine artery

Prevents normal blood flow from the


right pontine artery to the right
hemipons

Lack of blood flow to the


right hemipons

Right hemipons tissues lack nutrients


and oxygen supply

SIGNS AND SYMPTOMS

Altered mental
status

Left aphasia

Lethargic

Left Hemiparesis/
left body
weakness

Dysphagia

Difficulty of
breathing

Changes in
papillary reactions

Upward rolling of
the eyes

DIAGNOSTIC EXAMS

Hematology

Low sodium
levels
High Neutrophil
levels
Low Monocyte levels

CT scan

Serum Test

High Uric
Acid levels

Acute Ischemic
Infarction

Low HDL
Cholesterol levels
High LDL
Cholesterol
levels

ONSET OF
SEIZURE

Left side body


paralysis

Activity
intolerance

Exposed to the hospital


with PTB patients

Increased risk of
having PTB

Decreased lung
expansion

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